JOHNATHON DAHLIN PETERSON LCMHC LPC NPI 1487381869

NPI Information

  • NPI: 1487381869
  • Provider Name: JOHNATHON DAHLIN PETERSON, LCMHC, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1268 W SOUTH JORDAN PKWY STE 300
    SOUTH JORDAN, UT
    ZIP 84095
  • Phone: (801) 515-5850

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NPI Details

Johnathon Dahlin Peterson, LCMHC, LPC is a mental health counselor in South Jordan, UT. Johnathon Dahlin Peterson, LCMHC, LPC NPI is 1487381869. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1268 W SOUTH JORDAN PKWY STE 300
SOUTH JORDAN, UT
ZIP 84095-653
Phone: (801) 515-5850
Fax: (801) 254-9755

The NPI 1487381869 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 8/4/2022 and was last updated on 9/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional95059TEXASNo
2101YM0800XCounselorMental Health11125479-6004UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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